Table 1

 Management of dengue infections

Dengue fever
    Temperature controlParacetamol (60 mg/kg/day), tepid sponging
    Light diet
    MonitorFor progression to DHF by monitoring platelet count and packed cell volume
Grade I and II DHF
    Intravenous fluidsHartmann’s solution, 5% dextrose in normal saline
    ElectrolytesMonitor electrolytes in those with altered level of consciousness
    Temperature controlParacetamol (60 mg/kg/day), tepid sponging
    MonitorVital signs, urine output, and level of consciousness, packed cell volume, and platelet counts, liver enzymes
    ObserveHaemorrhagic manifestations: petechiae, signs of gastrointestinal tract bleeding
    Stop fluidsWhen patient recovers from the leakage phase
Grade III and IV DHF and dengue shock syndrome
    Intravenous fluidsCrystalloids (Hartmann’s solution, 5% dextrose in normal saline) and colloids (dextran 40, fresh frozen plasma, or gelafundin) several intravenous boluses may be needed
    MonitorVital signs, urine output, and level of consciousness, packed cell volume, and platelet counts every 10–15 minutes
    Give oxygen
    If significant bleeding occurs give platelets (depends on the amount of bleeding)
    Correct electrolyte and metabolic abnormalities